1.Pilot Utilization of Simulation-based Training among Interprofessional Teams in Proning Pregnant and Obese/Overweight Patients Experiencing Acute Respiratory Failure.
Maria Julieta V. GERMAR ; Maria Antonia E. HABANA ; Albert B. ALBAY ; Bernadette Cris L. FESTEJO-DELA CRUZ ; Hanz Deihl B. CARMONA ; Jean Michael L. CASTILLO ; Ma. Romina Jiselle A. LIRIO ; Karen Anne L. CLARIDAD ; Carlos Diego A. ROZUL
Acta Medica Philippina 2026;60(3):7-12
OBJECTIVES
The current study aimed to evaluate the impact of an interprofessional simulation-based training program on providers' perception, knowledge, and confidence in proning of pregnant patients with Acute Respiratory Distress Syndrome due to COVID -19 or other causes.
METHODSA total of 124 healthcare workers who took part in the management of patients in COVID wards and ICUs participated in the study. The simulation workshop was conducted on May 2022 and the participants were divided into interprofessional teams. Standardized patients and mannequins were used to simulate patients with ARDS. Standardized checklists for proning were used. The participants were debriefed after. The participants completed pre- and post-simulation questionnaires.
RESULTSAfter the simulation workshop, the participants’ perception on the benefit of prone position in the ventilation of patients with ARDS, level of confidence in handling proning of pregnant patients, comfort in speaking to patient and next of kin regarding prone ventilation, and knowledge on proning significantly improved. Subgroup analysis
showed statistically significant improvements in knowledge scores among registered nurses, resident physicians, and participants with varying degrees of experience managing COVID-19 patients and proning pregnant patients. Majority of participants deemed it was easy to turn patients in the prone position using the supportive pillow as well as expressed confidence in doing the procedure.
Human ; World Health Organization ; Respiratory Insufficiency ; Handling (psychology) ; Occupational Groups ; Knowledge
2.Clinicopathological analysis of nongestational ovarian choriocarcinoma: A case report and review of literature.
Bernadette Cris L. FESTEJO-DELA CRUZ ; Jericho Thaddeus P. LUNA
Philippine Journal of Obstetrics and Gynecology 2025;49(4):234-240
Nongestational ovarian choriocarcinoma (NGOC) is a sporadic and aggressive malignant germ cell tumor, with fewer than 100 cases reported in the literature. We present the case of a 28-year-old woman diagnosed with NGOC, who underwent fertility-sparing surgery and adjuvant bleomycin, etoposide, and cisplatin chemotherapy, followed by a recurrence managed with the second-line chemotherapy and radiotherapy. This report highlights the diagnostic challenges, unique β-human chorionic gonadotropin profile, disease course, and treatment response.
Human ; Female ; Adult: 25-44 Yrs Old ; Neoplasms, Germ Cell And Embryonal ; Ovary
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